Brian I. Watanabe, M.D., Inc.

LBN: Brian I. Watanabe, M.D., Inc.
Brian I. Watanabe, M.D., Inc. is an health care organization with primary practice located at 1885 Main St Suite 205, Wailuku HI 96793-1819. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty. Brian I. Watanabe, M.D., Inc. can be contacted via phone (808) 244-6776, or through Watanabe, Brian I. via phone (808) 244-6776.

Contact Information

Primary practice address
1885 Main St Suite 205 Wailuku HI 96793-1819
Phone: (808) 244-6776
Fax: (808) 244-6005
Website:
Map and Directions
Authorized official contact:
Name: Watanabe, Brian I. Doctor of Medicine (MD)
Phone: (808) 244-6776

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD-7581 Hawaii
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD-7581 Hawaii

Profile Details

NPI number 1194975516
LBN Legal business name Brian I. Watanabe, M.D., Inc.
DBA Doing business as
Authorized official Watanabe, Brian I. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2008
Last updated Sep 22nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194975516 NPPES
California MEDICAID OOG834232

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